For this episode, we have Dr. Adrienne Gobe. She is an orthopedic and pelvic floor physical therapist. She also educates other healthcare providers on pelvic health and pelvic floor dysfunction. She has a practice here in Austin, Texas that specializes in complex orthopedic and pelvic pain as well as helping people with sexual dysfunction. 

We will be talking about why some people have difficult  reaching orgasm after having a baby. We received this question from Gina, who is in Rochester, New York. She shared that she is too embarrassed to ask this question to her healthcare provider so we will be helping her understand her situation more. 

Basically, Gina shares that she has three kids and her orgasm intensities have decreased. Her last child was born five years ago and she wants to know if the decrease in orgasm intensities is normal. 

Let’s get to it:

• 00:36 – Introduction to the topic 
• 2:34 – Initial take on the question 
• 3:38 – Sex is a major part of life but there is discomfort talking about it 
• 5:56 – The importance of clitoral stimulation and communication 
• 7:03 – Experimenting with touching other places other than the genitals, but knowing what your body wants 
• 9:26 – Pornography should not be used as education 
• 11:16 – Being postpartum can impact arousal in so many ways 
• 11:55 – Drop in estrogen levels when you are in menopausal, perimenopausal, and immediately postpartum can affect enjoyable sex; Options you have when there is a drop in your estrogen levels 
• 16:29 – How Hodgkin’s Lymphoma affected my estrogen levels 
• 17:47 – When there is pain, you will less likely want to do something you found enjoyable before 
• 19:24 – How weakness or tightness in the pelvic floor muscles can lead to decreased sexual satisfaction 
• 23:12 – The main types of orgasms 
• 25:42 – What you can do before vaginal penetration and understanding the physiology of your body 
• 30:37 – Is the G Spot real and is having an orgasm the end goal? 
• 36:23 – What can you do to calm your nervous system and increase the accelerators? 
• 37:54 – The difference between desire to have sex and arousal 
• 38:46 – Other factors that could affect the ability to orgasm and what you can do to make life more enjoyable 
• 41:56 – Conclusion 

If you want to know more about Adrienne and the work she does, follow her on Instagram.

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I’ll see you in a week!